Individual
MS. KARA NICOLE LEE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3705 W MEMORIAL RD, SUITE 310, OKLAHOMA CITY, OK 73134-1512
(405) 749-6281
(405) 936-6496
Mailing address
3705 W MEMORIAL RD, SUITE 310, OKLAHOMA CITY, OK 73134-1512
(405) 749-6281
(405) 936-6496
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2031
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
710899209002
BLUE CROSS BLUE SHEILD
OK
Enumeration date
06/13/2006
Last updated
07/08/2007
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